A 30-year-old man is in the clinic for a yearly physical. He states "all my uncles had heart attacks when they were young." This alerts the nurse to complete a genetic-specific assessment
The nurse is aware that it is important to include what as a part of a genetic-specific assessment?
A) A complete health history including genogram along with any history of cholesterol testing or screening and a complete physical exam
B) A limited health history along with a complete physical assessment with an emphasis on genetic abnormalities
C) A limited health history and focused physical exam followed by safety-related education
D) A family history focused on the paternal family with focused physical exam and genetic profile
Ans: A
Chapter: 5
Client Needs: B
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 4
Page and Header: 59, Health History
Feedback: A genetic-specific exam in this case would include a complete health history, genogram, a history of cholesterol testing or screening, and a complete physical exam. Options B and D are incorrect; they do not provide enough information to complete a genogram or provide a holistic view of the patient. Option C is incorrect; it offers a focused exam when a complete physical exam is more appropriate, and safety-related education is unwarranted in this case.
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